Clark, Mary

Clark, Mary is an individual health care provider with primary practice located at 4323 Old Mill Rd Ste B , Anderson SC 29621-1117. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Clark, Mary can be contacted via phone (864) 671-1466.

Contact Information

Primary practice address
4323 Old Mill Rd Ste B Anderson SC 29621-1117
Phone: (864) 671-1466
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X 17-39632 South Carolina

Profile Details

NPI number 1861907172
LBN Legal business name Clark, Mary
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 8th, 2017
Last updated Dec 8th, 2017 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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